Dallas County Hospital District

Primary specialty

PharmacyTaxonomy code 333600000X

License

4633300002 Issued in TX

Legal business name

DALLAS COUNTY HOSPITAL DISTRICT

Doing business as

Moody Outpatient Clinic Pharmacy

Practice address

5151 Maple Ave # 1-1676
Dallas, TX 75235-8136

Phone

(142) 590-6323

Fax

(142) 590-6160

NPI assigned

Sep 9, 2005

Last updated

Jun 3, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edmundo Castaneda

Title

Exec VP & Chief Operating Officer

Phone

(214) 590-8006

Specialties & licenses 1

Addresses

Other names 1

• Moody Outpatient Clinic Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dallas County Hospital District

  dba Moody Outpatient Clinic Pharmacy

  • Clinic Pharmacy
  • Dallas, TX
  • NPI 1801965991

  O20100930059553

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1982698569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357709",
            "telephone_number": "469-419-1976",
            "fax_number": "469-419-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MAPLE AVE # 1-1676",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358136",
            "telephone_number": "142-590-6323",
            "fax_number": "142-590-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "EDMUNDO",
        "authorized_official_title_or_position": "EXEC VP & CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "214-590-8006"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "4633300002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moody Outpatient Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dallas County Hospital District
• Dallas County Hospital District (Anderson Clinic Pharmacy)
• Dallas County Hospital District (The Hillcrest of North Dallas)
• Dallas County Hospital District (Oak West Health Center)
• Dallas County Hospital District (Forest Park Nursing & Rehabilitation)
• Dallas County Hospital District (Dallas Deflection Center - Homeward Bound)
• Dallas County Juvenile Department
• Dallas County Mental Health & Mental Retardation Center (Metrocare Services)
• Dallas County Mental Health & Mental Retardation Center (Westmoreland Adult Oc Dcmhmr)
• Dallas County Mental Health & Mental Retardation Center (Dallas Mental Health Clinic)

• Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.